In accordance with the BO4
Companies Act 2019 Beneficial Ownership Declaration Form:
(Act 992) Government Owned Companies
Registrar-General’s Department
Part A – The Company
1. Purpose of Beneficial Ownership Information Registration of a new company
Submission (Please tick) Submission of Annual Returns
Company Update / Amendments
Other (Please specify)
2. Company Information
i. Full legal name of Company: ii. TIN of Company:
iii. RGD number: iv. Country of incorporation:
Part B – The Beneficial Owner
i. Name of government agency: ii. Address (including street name, city, country,
and: Postal/Zip code:
iii. Email address (if any): iv. Country of Incorporation (Please provide
notarised copy of incorporation document)
v. Nationality: vi. Name of Official Representative for
Government:
vii. Current Role: viii. Email Address:
ix. Contact number:
Part D - Nature of Interest
1. Is the government agency a direct or No (skip to 2.) Yes – Direct Yes – Indirect*
indirect shareholder in the company?
Effective percentage interest:
i. Direct:…………………………………
ii. Indirect:……………………………….
2. Does the government agency control No (skip to 3.) Yes - Direct Yes – Indirect*
voting rights in the company?
i. % of Voting Rights Held: ii. Right of Veto?
☐ Yes ☐ No
3. Does the government agency have a No Yes
right to appoint or remove a majority of
the directors?
4. Does the government agency have any No (skip to 5.) Yes
form of securities issued by the
company?
Description:
5. Does the government agency exercise No Yes
control or ownership in a way not
disclosed in 1 to 4 above?
Description:
ATTESTATION
1. I, undersigned, for and on behalf of the reporting entity confirm that all information provided in the above
beneficial ownership declaration is accurate and reliable.
Name of Director* _________________________ (Signature)________________________
Position. _________________________ Date
(ddmmyyyy)
2. I, undersigned, for and on behalf of the reporting entity confirm that all information provided in the above
beneficial ownership declaration is accurate and reliable.
Name of Company Scecretary* _____________________ (Signature)________________________
Position. _________________________ Date
(ddmmyyyy)
* In the case of an external company the local manager should sign.
OFFICIAL USE ONLY
To be completed by Registrar-General’s Department
Name of Company Inspector _________________________ (Signature)________________________
Date received (ddmmyyyy)
COMPLETION NOTES
BO4
Instructions
Complete all relevant sections in BLOCK letters. If any information to be included on the form, such as a person’s name,
is not originally in the Latin alphabet, please use a recognised transliteration into the Latin alphabet.
Spell out all words – no abbreviations.
What is this Form?
To enhance transparency in doing business in Ghana and adhere to Ghana’s international obligations under the
Financial Action Task Force (FATF), the Companies Act, 2019 (Act 992) requires the Office of the Registrar of
Companies to obtain, verify, and record information about beneficial owners of companies, as defined under the Act.
Under the Act, every company must complete for BO1 to identify any reportable beneficial owners. To the extent that a
company identify any reportable Government Owned Company beneficial owners by ticking the Government Owned
Company column, a form BO4 must be completed for each Government Owned Company.
This form collects information on the Government Owned Company beneficial owner and their interest in the company.
Who must complete this form?
This form must be completed by every company having ticked once or more in the Government Owned Company
column of for BO1.
Please note, a separate for BO4 is required for each Government Owned Company identified on form BO1.
Section 1
Please tick one box only.
If ticking “Other”, please give details.
Section 2
Box i.
Give the full name of the company on whose behalf the form is completed.
Box ii.
Provide the company’s TIN.
Box iii
Provide the company’s RGD number where applicable.
Box iv
Provide country of incorporation.
Part B
Box i.
Insert the full legal name of the government agency which is the beneficial owner as included on form BO1. This should
be the full unabbreviated name.
Box ii.
Insert the full address of that government agency.
Box iii.
Insert the contact email address for that agency. This should be an address to which queries regarding this interest in
the reporting company can be directed.
Box iv.
Insert the country of incorporation of the Government Owned Company.
Box v.
Insert the name of the person acting as the official representative of the government with respect to the Government
Owned Company
Box vi.
Insert the current role of that individual within the Government Owned Company
Box vii.
Insert the nationality of the Government Owned Company
Box viii.
Insert the email address of that individual within the Government Owned Company
Box ix.
Insert the contact telephone number for that individual within the Government Owned Company
Part C
Box 1 – Please select whether the Government Owned Company has a direct or indirect (via holding companies)
shareholding in the company; no, yes (direct) or yes (indirect). Please tick only one box. If yes, please insert the
effective percentage interest in the box below.
Box 2 – Please select whether the Government Owned Company direct or indirect (via holding companies) controls
voting rights in the company; no, yes (direct) or yes (indirect). Please tick only one box. If yes, please insert the effective
percentage voting rights in the box below, and also whether or not they have a right of veto.
A right of veto exists if the Government Owned Company can block a decision of the board of the company.
Box 3 – Please select whether the Government Owned Company has the right to appoint or remove a majority of the
directors of the company. This might be the case even if they do not control voting rights as set out in Box 2 above, and
they may have a specific separate right.
Box 4 – Please select whether the Government Owned Company has any other form of securities in the company other
than shares disclosed in Box 1 above. This could include share options or warrants. If yes, please provide a description.
Box 4 – Please identify whether the Government Owned Company exercises control over the company in any other way
not already disclosed. If yes, please provide a description.
Attestation
Please complete in full.
